Little River Respiratory Care, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

105930 Issued in AZ

Legal business name

LITTLE RIVER RESPIRATORY CARE, INC

Doing business as

Little River Medical Equipment

Practice address

5540 E Broadway Rd
Suite 7
Mesa, AZ 85206-1440

Phone

(480) 325-8011

Fax

(480) 325-7796

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry H Fox, RRT

Title

President

Phone

(480) 325-8011

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• LITTLE RIVER MEDICAL EQUIPMENT Doing business as

Tax ID family

Little River Medical Equipment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little River Respiratory Care Inc

  • Oxygen Equipment & Supplies (DME)
  • Little River, SC
  • NPI 1457368011
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427065093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 E BROADWAY RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061440",
            "telephone_number": "480-325-8011",
            "fax_number": "480-325-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 E BROADWAY RD",
            "address_2": "SUITE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061440",
            "telephone_number": "480-325-8011",
            "fax_number": "480-325-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE RIVER RESPIRATORY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-325-8011",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "105930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551269",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALES TAX LICENSE",
            "identifier": "00200886",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUS RETAIL LICENSE",
            "identifier": "07-30169-M",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARM O2 LICENSE",
            "identifier": "105930",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITTLE RIVER MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Magdalena Lira
• Anita Lisberg
• David Litoff, M.D.
• Little and Big Smiles Dentistry PLLC
• Little Heroes, LLC
• Little Sanctuary Health Center
• Brandon Little, DO
• Jacqueline Little
• Renee M Little, PA
• Lori Littlefield, MS,CCC-SLP

• Oxygen Equipment & Supplies (DME) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.